Chronic Disease Management
Patients with chronic conditions and complex needs can be referred to Physical Reality under Medicare.
Your GP must prepare a GP Management Plan (Item 721) and Team Care Arrangement (Item 723) and discuss with you the care plan, your needs, the services to be provided and the expected outcomes.
Your Doctor may provide you with a copy of the care plan to ensure that you agree and have the opportunity to provide input into the Care Plan and its aims. The GP can also discuss, by two way communication (face-to-face, phone, fax, email etc), the services and treatments to be provided.
Physical Reality will provide a short report to your Doctor following the first and the final consultation. Additional reports may be prepared if clinically necessary.
The patient should be advised that while Medicare may pay some of the costs of services the patient may still have to pay some money as well - it is essential that the patient discuss this with the AHP before services are provided. When Medicare has processed item numbers 721 and 723 from your Doctor, the patient is eligible for up to five allied health consultations per calendar year under the Medicare Chronic Disease Management items. A rebate from Medicare of $52.95 (current until Nov 2014) is available from Medicare.
Diabetes Management
Medicare Allied Health Group Services for Type II Diabetes
People with type 2 diabetes can receive Medicare rebates for group services provided by Physical Reality, on referral from a GP. To be eligible for this group (between 2 and 12 persons) education program, a patient must:
- Have type 2 diabetes.
- Have a relevant care plan in place; and
- Be referred by their GP for an assessment to determine suitability for the group based program.
Diabetes group services are in addition to the five individual allied health services available per year to eligible patients.
Department of Veterans Affairs
A referral from your GP is required for members of the veteran community to attend an accredited exercise physiologist. Your GP can use a special referral form (D904) stating the medical condition you are to be treated for and your DVA member number. A referral is valid for 12 months from the date of referral, unless the referring provider has indicated on the referral that treatment is required for a chronic condition and that the referral is an open-ended/ongoing referral.
Consultation lengths are 30 minutes and billed directly to DVA.
Treatment for Repatriation. White Card holders must be related to an accepted disability for DVA to accept financial responsibility for the treatment.
Eligibility and approval from DVA must be established prior to commencement of treatment.
